CN113164202A - 电外科器械 - Google Patents

电外科器械 Download PDF

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Publication number
CN113164202A
CN113164202A CN201980077315.7A CN201980077315A CN113164202A CN 113164202 A CN113164202 A CN 113164202A CN 201980077315 A CN201980077315 A CN 201980077315A CN 113164202 A CN113164202 A CN 113164202A
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CN
China
Prior art keywords
distal
electrosurgical instrument
electrosurgical
proximal
transmission line
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201980077315.7A
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English (en)
Chinese (zh)
Inventor
C·P·汉考克
威廉·塔普林
G·乌尔里克
S·普雷斯顿
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Creo Medical Ltd
Original Assignee
Creo Medical Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Creo Medical Ltd filed Critical Creo Medical Ltd
Publication of CN113164202A publication Critical patent/CN113164202A/zh
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1477Needle-like probes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00137Details of operation mode
    • A61B2017/00154Details of operation mode pulsed
    • A61B2017/00181Means for setting or varying the pulse energy
    • A61B2017/00185Means for setting or varying the pulse height
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00137Details of operation mode
    • A61B2017/00154Details of operation mode pulsed
    • A61B2017/00181Means for setting or varying the pulse energy
    • A61B2017/0019Means for setting or varying the pulse width
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00107Coatings on the energy applicator
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00107Coatings on the energy applicator
    • A61B2018/0013Coatings on the energy applicator non-sticking
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00107Coatings on the energy applicator
    • A61B2018/00148Coatings on the energy applicator with metal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00172Connectors and adapters therefor
    • A61B2018/00178Electrical connectors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00482Digestive system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00529Liver
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00613Irreversible electroporation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00726Duty cycle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00982Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00994Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/183Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves characterised by the type of antenna
    • A61B2018/1853Monopole antennas
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1861Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument inserted into a body lumen or cavity, e.g. a catheter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1869Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument interstitially inserted into the body, e.g. needles

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Plasma & Fusion (AREA)
  • Electromagnetism (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
CN201980077315.7A 2018-12-03 2019-11-28 电外科器械 Pending CN113164202A (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB1819683.2 2018-12-03
GB1819683.2A GB2579561B (en) 2018-12-03 2018-12-03 Electrosurgical instrument
PCT/EP2019/082885 WO2020114878A1 (en) 2018-12-03 2019-11-28 Electrosurgical instrument

Publications (1)

Publication Number Publication Date
CN113164202A true CN113164202A (zh) 2021-07-23

Family

ID=65024908

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201980077315.7A Pending CN113164202A (zh) 2018-12-03 2019-11-28 电外科器械

Country Status (13)

Country Link
US (1) US20220008129A1 (ja)
EP (1) EP3890639B1 (ja)
JP (1) JP7454266B2 (ja)
KR (1) KR20210099559A (ja)
CN (1) CN113164202A (ja)
AU (1) AU2019391266A1 (ja)
BR (1) BR112021009450A2 (ja)
CA (1) CA3119863A1 (ja)
ES (1) ES2963235T3 (ja)
GB (1) GB2579561B (ja)
IL (1) IL283323A (ja)
SG (1) SG11202105470PA (ja)
WO (1) WO2020114878A1 (ja)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114052886A (zh) * 2022-01-17 2022-02-18 北京微刀医疗科技有限公司 自适应消融装置的控制方法

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021255604A1 (en) * 2020-06-17 2021-12-23 Baylis Medical Company Inc. Perforation device and system
WO2024081361A1 (en) * 2022-10-14 2024-04-18 Cardiovascular Systems, Inc. Intravascular lithotripsy devices and systems with forward facing electrodes and flex circuit arrangements

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2011041799A (ja) * 2009-08-05 2011-03-03 Vivant Medical Inc 遠位に位置付けられた共鳴構造を備える誘電体装荷された同軸の開口部を有する電気外科手術装置およびその製造方法
CN102711643A (zh) * 2009-11-17 2012-10-03 Bsd医药公司 凝固微波辐射器和系统
CN103025261A (zh) * 2010-06-24 2013-04-03 艾姆西森有限公司 改进的消融器械
CN103329347A (zh) * 2011-01-11 2013-09-25 克里奥医药有限公司 利用双射频和微波电磁能量的电手术器械
CN104427951A (zh) * 2012-07-03 2015-03-18 克里奥医药有限公司 电外科切除仪器
US20150126922A1 (en) * 2011-06-01 2015-05-07 Angiodynamics, Inc. Coaxial dual function probe and method of use
WO2017174513A1 (en) * 2016-04-04 2017-10-12 Creo Medical Limited Electrosurgical probe for delivering rf and microwave energy
CN107920828A (zh) * 2015-09-07 2018-04-17 科瑞欧医疗有限公司 电外科圈套器
CN108495596A (zh) * 2015-12-17 2018-09-04 科瑞欧医疗有限公司 递送微波能量的电外科探头

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB9904373D0 (en) * 1999-02-25 1999-04-21 Microsulis Plc Radiation applicator
EP1675519B1 (en) * 2003-10-03 2013-01-23 UK Investment Associates LLC Device and method for the treatment of hollow anatomical structures
US11389235B2 (en) * 2006-07-14 2022-07-19 Neuwave Medical, Inc. Energy delivery systems and uses thereof
US20080033422A1 (en) * 2006-08-04 2008-02-07 Turner Paul F Microwave applicator with margin temperature sensing element
GB0624658D0 (en) * 2006-12-11 2007-01-17 Medical Device Innovations Ltd Electrosurgical ablation apparatus and a method of ablating biological tissue
US20090005766A1 (en) * 2007-06-28 2009-01-01 Joseph Brannan Broadband microwave applicator
US8280525B2 (en) * 2007-11-16 2012-10-02 Vivant Medical, Inc. Dynamically matched microwave antenna for tissue ablation
US8343149B2 (en) 2008-06-26 2013-01-01 Vivant Medical, Inc. Deployable microwave antenna for treating tissue
US8221411B2 (en) * 2008-07-28 2012-07-17 Medtronic, Inc. Systems and methods for cardiac tissue electroporation ablation
US20100087808A1 (en) 2008-10-03 2010-04-08 Vivant Medical, Inc. Combined Frequency Microwave Ablation System, Devices and Methods of Use
CN107898498B (zh) * 2008-10-21 2021-06-11 微立方有限责任公司 将能量应用于身体组织的方法及装置
US20100152725A1 (en) * 2008-12-12 2010-06-17 Angiodynamics, Inc. Method and system for tissue treatment utilizing irreversible electroporation and thermal track coagulation
US9119649B2 (en) * 2009-07-28 2015-09-01 Neuwave Medical, Inc. Energy delivery systems and uses thereof
GB201021032D0 (en) 2010-12-10 2011-01-26 Creo Medical Ltd Electrosurgical apparatus
US10765477B2 (en) * 2014-03-10 2020-09-08 Wisconsin Alumni Research Foundation Microwave ablation antenna system
GB2563377A (en) * 2017-05-04 2018-12-19 Creo Medical Ltd Electrosurgical apparatus and method of tissue ablation

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2011041799A (ja) * 2009-08-05 2011-03-03 Vivant Medical Inc 遠位に位置付けられた共鳴構造を備える誘電体装荷された同軸の開口部を有する電気外科手術装置およびその製造方法
CN102711643A (zh) * 2009-11-17 2012-10-03 Bsd医药公司 凝固微波辐射器和系统
CN103025261A (zh) * 2010-06-24 2013-04-03 艾姆西森有限公司 改进的消融器械
CN103329347A (zh) * 2011-01-11 2013-09-25 克里奥医药有限公司 利用双射频和微波电磁能量的电手术器械
US20150126922A1 (en) * 2011-06-01 2015-05-07 Angiodynamics, Inc. Coaxial dual function probe and method of use
CN104427951A (zh) * 2012-07-03 2015-03-18 克里奥医药有限公司 电外科切除仪器
CN107920828A (zh) * 2015-09-07 2018-04-17 科瑞欧医疗有限公司 电外科圈套器
CN108495596A (zh) * 2015-12-17 2018-09-04 科瑞欧医疗有限公司 递送微波能量的电外科探头
WO2017174513A1 (en) * 2016-04-04 2017-10-12 Creo Medical Limited Electrosurgical probe for delivering rf and microwave energy

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114052886A (zh) * 2022-01-17 2022-02-18 北京微刀医疗科技有限公司 自适应消融装置的控制方法

Also Published As

Publication number Publication date
BR112021009450A2 (pt) 2021-08-10
GB2579561B (en) 2022-10-19
SG11202105470PA (en) 2021-06-29
US20220008129A1 (en) 2022-01-13
JP2022509813A (ja) 2022-01-24
GB201819683D0 (en) 2019-01-16
ES2963235T3 (es) 2024-03-25
EP3890639B1 (en) 2023-08-09
KR20210099559A (ko) 2021-08-12
CA3119863A1 (en) 2020-06-11
EP3890639A1 (en) 2021-10-13
IL283323A (en) 2021-07-29
GB2579561A (en) 2020-07-01
EP3890639C0 (en) 2023-08-09
AU2019391266A1 (en) 2021-06-03
WO2020114878A1 (en) 2020-06-11
JP7454266B2 (ja) 2024-03-22

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